@hazardwarning complex indeed. In the UK socioeconomic inequality and educational inequality has a huge and unaddressed health impact (large evidence base to support this). Systems where a patient can't see a different GP or practice is bizarre to me too. Re divesting things to the private system I think some things like some simple elective surgery and rehab being an option of private vs public is sensible and eases load but too much privatisation means you get the inefficiency of the US with gross inequities, bad outcomes even for the rich, dangerous over servicing and healthcare costing 16% gdp ie twice that of the rest of the OECD (also large evidence base to support this). Regarding administrative creep I completely agree with you - however private organisations can suffer the same issue (look at Microsoft for example) - I wonder if there is any corporate management literature about how to solve? The new big costly drug issue is definitely a thing- Aus and many other countries sometimes spend months negotiating bulk pricing agreements. Latest evidence shows that there is a huge profit margin and cost is not justified by development costs. But sadly we are all at the mercy of lack of industry regulation in the US (eg HIV and hep c drugs)
// @larand @kdfrawg @hybotics
